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The SQuID Protocol: SQ Insulin in DKA?

RebelEM

The SQuID Protocol (Subcutaneous Insulin in /diabetic Ketoacidosis): Impacts on ED Operational Metrics. No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 A more optimal, and promising, solution may be the use of SQ insulin in mild to moderate DKA. tests/hr (0.8

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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

RebelEM

The retrospective design of this study omitted assessment of ventricular dysrhythmias related to push dose pressor administration, as they were reliant on information in the EMR. In other words these were pre-made syringes and not mixed at the bedside. Further studies are needed to assess the prevalence of cardiac dysrhythmia.

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Ketamine ICP Safety | Bougie First

JournalFeed

Ketamine ICP Safety Spoon Feed This retrospective study of thirty-three pediatric patients with severe traumatic brain injury (sTBI) demonstrated no increase in intracranial pressure (ICP) after administration of ketamine.

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Here to chair: Gender differences in the path to leadership

SheMD

80% of department chair roles in academic medicine are held by men. Article Summary What they looked at: This article aimed to look at career trajectory differences between genders in faculty who have attained academic chair roles in emergency medicine. Female chairs obtained more advanced degrees (47.4% vs 31.6%, p=0.12).

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Hydroxycobalamin vs Methylene Blue for Vasoplegic Shock from Cardiopulmonary Bypass

RebelEM

ug/kg/min of norepinephrine equivalent at time of hydroxocobalamin or methylene blue administration Exclusion Criteria: Administration of hydroxocobalamin or methylene blue for non-VS indications Hydroxocobalamin or methylene blue given > 48 hours after CPB Pre-intervention cardiac index < 2.0 J Cardiothorac Vasc Anesth.

Shock 71
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Sepsis alerts work! Just not in the patients who fire the alerts

PulmCCM

With financial penalties coming for noncompliance with the new rule, hospital administrators rapidly deployed the alerts to fire on all eligible inpatients. Instead of clinical micromanagement, in its new form it would incentivize continuous improvement in systemwide operational processes. And have they fired.

Sepsis 45
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Interview Series: Tips to Answer Five Common Medical School and Residency Interview Questions

SheMD

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Therefore, he worked with the primary care innovation department and learned hospital administration and clinical operations during his residency. Disclaimer: This post was written before the COVID-19 pandemic.